Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2000
Randomized Controlled Trial Comparative Study Clinical TrialThe incidence of thrombosis in high tibial osteotomies with and without the use of a tourniquet.
In a prospective randomised study, 65 high tibial osteotomies were performed in cases of varus osteoarthritis of the knee, and the incidence of thrombosis with and without the use of a tourniquet was studied. With an average incidence of thrombosis of 10.8%, no statistically significant differences between these two groups were seen.
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Arch Orthop Trauma Surg · Jan 2000
Review Case ReportsIsolated dislocation of the hamate bone. Case report and review of the literature.
A case of isolated dislocation of the hamate bone is reported. Mechanism of the injury and treatment are described including a review of the literature.
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Arch Orthop Trauma Surg · Jan 2000
Review Case ReportsMonostotic fibrous dysplasia of the spine: report of a case involving the lumbar transverse process and review of the literature.
Monostotic fibrous dysplasia of the spine is rare. We report its clinical, radiologic and histologic features affecting a 47-year-old housewife. She presented with low-back pain of 1-year's duration, and radiographs showed a diffuse expansile lesion in the left transverse process of the fourth lumbar vertebra. ⋯ It most commonly involves the body and adjacent pedicle, although no part of the vertebra is spared. It is worth noting that a propensity for progressive enlargement, even to the extent of causing graft destruction, exists if the lesion is left untreated or incompletely treated. Complete removal of all involved bone, together with stabilization, should therefore be the treatment of choice for this condition.
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Arch Orthop Trauma Surg · Jan 2000
Review Case ReportsBilateral Madelung's deformity without signs of dyschondrosteosis within five generations in a European family--case report and review of the literature.
The paper presents a European family showing bilateral Madelung's deformity within five consecutive generations. Females as well as males are affected alternately indicating autosomal dominant inheritance. ⋯ There seems to be the possibility of an inheritance independent from the complete syndroma of dyschondrosteosis. Therefore the genetic counselling will always be difficult and has to regard the wide variety of symptoms ranging from little pain and cosmetic disturbance to moderate pain and functional impairment.
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Arch Orthop Trauma Surg · Jan 2000
Comparative StudyManagement of the floating elbow injury in children. Simultaneous ipsilateral fractures of the elbow and forearm.
Simultaneous ipsilateral fracture of the elbow and forearm--floating elbow--is an uncommon injury. During a 7-year period we prospectively followed 12 children who presented with completely displaced supracondylar fractures of the humerus associated with a forearm fracture of the same limb. All patients underwent emergency operative reduction and percutaneous K-wire stabilisation. ⋯ Ten patients had good or excellent outcomes, and there were two fair results. The incidence of open fractures and nerve injury and the need to perform an open reduction were higher than those recorded for isolated supracondylar fractures. The floating elbow is an indicator of a high energy injury and requires aggressive operative management.